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Oncol Nurs Forum. 2015 May;42(3):233-40. doi: 10.1188/15.ONF.233-240.

Examining Adherence With Recommendations for Follow-Up in the Prevention Among Colorectal Cancer Survivors Study.

Author information

1
Centers for Disease Control and Prevention in Atlanta, GA.

Abstract

PURPOSE/OBJECTIVES:

To explore the impact of health professionals' recommendations for medical follow-up among colorectal cancer (CRC) survivors.

DESIGN:

Cross-sectional survey.

SETTING:

Mailed surveys and telephone interviews with CRC survivors in California.

SAMPLE:

593 adults diagnosed with a primary CRC six to seven years before the time of the study.

METHODS:

Participants were identified through California Cancer Registry records and invited to take part in a survey delivered via mail or through telephone interview.

MAIN RESEARCH VARIABLES:

The survey assessed cancer history, current preventive health practices, health status, demographics, and other cancer-related experiences.

FINDINGS:

More than 70% of CRC survivors received recommendations for routine checkups, surveillance colonoscopy, or other cancer screenings after completing CRC treatment, and 18%-22% received no such recommendations. Recommendations were sometimes given in writing. Receiving a recommendation for a specific type of follow-up was associated with greater adherence to corresponding guidelines for routine checkups, colonoscopy, mammography, and Papanicolaou testing. Receiving written (versus unwritten) recommendations led to greater adherence only for colonoscopy.

CONCLUSIONS:

Most CRC survivors reported receiving recommendations for long-term medical follow-up and largely adhered to guidelines for follow-up. Receiving a health professional's recommendation for follow-up was consistently associated with patient adherence, and limited evidence showed that recommendations in written form led to greater adherence than unwritten recommendations.

IMPLICATIONS FOR NURSING:

Given the increasingly important role of the oncology nurse in survivorship care, nurses can be instrumental in ensuring appropriate surveillance and follow-up care among CRC survivors. Conveying recommendations in written form, as is done in survivorship care plans, may be particularly effective.

KEYWORDS:

adherence; cancer surveillance; cancer survivorship; colorectal cancer; long-term care; public health

PMID:
25901375
PMCID:
PMC4501017
DOI:
10.1188/15.ONF.233-240
[Indexed for MEDLINE]
Free PMC Article

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